Part D Drug Management Program

Part D Drug Management Program (CMS-10874)

OMB: 0938-1465

IC ID: 264405

Documents and Forms

Document Name Document Type
Form CMS-10874 Part D Drug Management Program Form
CMS-10874 Initial Notice Initial DMP Notice.pdf Form
CMS-10874 Second Notice Corrected Second DMP Notice PDF.pdf Form
CMS-10874 Alternate Second Notice Alternate Second DMP Notice - clean 08.28.2005.docx Form
Instructions for Drug Management Program Notices.pdf Instruction
CMS-10874 Model Prescriber Inquiry Letter Model Prescriber Inquiry Letter.pdf Form
CMS-10874 Model Sponsor Information Transfer Memorandum Model Sponsor Information Transfer Memo.pdf Form
Part D Drug Management Program Crosswalk-Nonsubstantive Change 08.06.25.pdf Crosswalk: Alternate Second Notice IC Document
Alternate Second DMP Notice - track changes 08.28.2005.pdf Redline: Allternate Second Notice IC Document